| NPI | 1215701057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2010026495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051299330) |
| 183500000X Pharmacist (Licence: FL PS54513) | |
| 183500000X Pharmacist (Licence: MA PH27546) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |